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Top Concerns and Current Issues

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MINNESOTA COUNTIES INSURANCE TRUST ... Breach of contract Cost estimate ... Contractual Liability Exclusion Excludes coverage for Bodily Injury or Property ... – PowerPoint PPT presentation

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Title: Top Concerns and Current Issues


1
MINNESOTA COUNTIES INSURANCE TRUST
2004 On-site Risk Management Training for _____
County
  • Top Concerns and Current Issues
  • Presented By
  • Date

2
Contracts Introduction
  • Why are Contracts important?
  • County-wide concern
  • Member input
  • To help counties identify and manage risks
    assumed in Contracts
  • May increase the countys exposure to loss
  • Could be agreeing to terms or conditions not
    covered by MCIT
  • To provide risk management recommendations for
    ways to prevent or reduce risk in Contracts

3
Types of Contracts
  • Easement Agreements
  • Railroad
  • Trails
  • Right-of-way
  • Joint Powers Agreements
  • Collaboratives
  • Juvenile Detention Center
  • Libraries
  • Grant Agreements...
  • Lease/Rental Agreements
  • Space Rental
  • Office Equipment
  • Contractors Equipment
  • Vehicles
  • Construction Agreements
  • Building/Renovation Projects
  • American Institute of Architects (AIA)

4
Types
  • Service Provider Contracts
  • Public Health Nursing Services
  • Social Services Service Providers
  • Lawn/Building Maintenance Services
  • Computer Services
  • Engineering Services
  • Architect Services
  • Legal Services

5
Recognize the Risks Created In Contracts
  • Understand MCIT Coverage Document
  • Exclusions are generally applied when
  • Exposure is limited to one member or a few
    members
  • Providing coverage is not beneficial to all
    members
  • Cost of coverage would be prohibitive
  • Exposure has the potential to affect reinsurance
  • Assets of the Trust would be at risk

6
Risks
  • Breach of Contract Exclusion
  • Any Claim based upon Breach of Contract or
    other obligation arising out of an agreement
    creating an obligation on behalf of a member to
    another person or entity. This clause
    specifically excludes any coverage for damages
    or claim expenses based upon, caused by or
    arising from
  • Breach of contract
  • Cost estimate overruns on any Contract or project
  • Any penalties for failure to comply with a
    contractual obligation OR
  • Other duties assumed as a result of a written
    agreement...

7
Risks...
  • County could agree to limits in excess of MS466
  • Significance of MS466
  • Legislation that protects Minnesota
    Municipalities
  • Provides certain Immunities and Defenses
  • Places a CAP on Tort Liability claims
  • 300,000 per Claimant
  • 1,000,000 per Occurrence
  • Could Agree to coverage not provided by MCIT
  • Example
  • Railroad Contract that required county clean up
    any pollution discovered onsite
  • Pollution Liability Exclusion...

8
Risks
  • Contractual Liability Exclusion
  • Excludes coverage for Bodily Injury or Property
    Damage that the county is obligated to pay
    because you assumed that Liability in the terms
    of the contract
  • Exceptions
  • Liability that you would have had if you didnt
    enter into the agreement
  • Covered Party Contracts as defined
  • Lease of Premises
  • Sidetrack Agreements
  • Easement or License Agreements
  • Elevator Maintenance Agreements

9
Risks...
  • Covered Party Contract does NOT include
  • Construction or demolition operations within 50
    feet of any railroad or trestle, track, road bed,
    tunnel underpass or crossing
  • Indemnification to an architect, engineer or
    surveyor
  • Indemnification to any person or organization for
    damage by fire to premises rented or loaned to
    you
  • This exclusion is often the least understood and
    most confusing provision...

10
Risks...
  • Example
  • County hires a plumber to repair a pipe in the
    courthouse. Water leaks from a pipe creating a
    puddle on the floor. Rather than cleaning up the
    water, the plumber takes his lunch break. A
    resident comes to the courthouse to pay her taxes
    and slips on the water, breaking her hip.
  • The County tells the plumber to submit the claim
    to his Liability insurance carrier.
  • The plumbers insurance carrier reviews the
    Contract and finds it included a provision
    stating the County would hold the plumber
    harmless. Therefore, the insurance carrier
    tenders the claim back to the County.
  • The County submits the Liability claim brought
    against the plumber to MCIT. Coverage is denied
    based on the Contractual Liability exclusion...

11
Risks
  • Concern
  • Members might assume Liability in the Hold
    Harmless Indemnification Agreement
  • Hold Harmless and Indemnification
  • Hold Harmless One party assumes an obligation
    to protect and defend another
  • Indemnification One party agrees to pay for
    losses or damages incurred by another as a result
    of contract...
  • Important tool in transferring risk Key
    Question 4

12
Risks
  • Hold Harmless Agreements
  • Each should be appropriate for the specific
    agreement
  • County holds the other party harmless for the
    Countys negligent acts
  • Other party holds the County harmless for their
    negligent acts
  • CAUTION County holds other party harmless for
    the other partys negligent acts...

13
Risks
  • Waiver of Subrogation
  • Is the County agreeing to waive MCITs Right of
    Subrogation?
  • Subrogation The trusts right to recover from
    the negligent party
  • Waiver of Subrogation Waives the trusts legal
    right of recovery
  • MCIT Bulletin Article (April 2004)
  • Dont Give Away An Opportunity To Replenish The
    Pool With A Waiver Of Subrogation

14
Risk Management Recommendations
  • Review Contracts before signing
  • Review new and renewal Contracts
  • Terms are generally negotiable
  • Board approval or delegation of authority
  • Develop Contract review process
  • Examine
  • Terms of the Agreements
  • Hold Harmless and Indemnification Clause
  • Insurance Provisions
  • Waiver of Subrogation
  • Escape Clause/Cancellation Clause
  • Obtain a legal opinion

15
Risk Management Recommendations...
  • Utilize MCITs resources
  • Publications (Bulletins/Resource Briefings)
  • Checklist of Recommended Coverages for
    Independent Contractors or Construction Projects
  • Contracting with outside vendors
  • Do not qualify for MS466
  • No limit to the amount of damage
  • Contracting with another municipality
  • Limits for both parties should reference MS466
  • MCITs limits mirror those outlined in the first
    and third clauses of MS466, subdivision 1
  • Contact your MCIT Account Executive
  • Review from a Risk Management perspective
  • Develop Policies and Procedures to review
    Certificates of Insurance

16
Why Manage Certificates of Insurance?
  • Effective Risk Management tool
  • Protects the Hold Harmless and Indemnification
    Agreement in the Contract
  • Provides evidence the other party can satisfy
    their obligation
  • Meeting obligations of liability losses assumed
    under the agreement
  • Provides protection for loss or damage to
    property that has been assumed under the Contract
  • Demonstrates the other party has insurance to
    support the Contract...

17
Why Manage Certificates of Insurance...
  • Workers Compensation
  • Independent Contractor An Employee?
  • Every Independent Contractorin the public
    sector or private sector is, for Workers
    Compensation purposes, an employee of any
    employer for whom the independent contractor is
    performing service, except as provided in
    MS176.042 subdivision 2
  • 9 conditions to avoid Workers Compensation
    Liability
  • Must meet all 9 points to not be an employee for
    Workers Compensation purposes
  • Employees of Uninsured Independent Contractors
  • MS176.215 transfers responsibility

18
What is a Certificate of Insurance?
  • Standard form issued as evidence of a policy
    holders coverage and limits of liability
  • ACORD
  • MCIT

19
ACORD Certificate of Insurance
20
MCITs Certificate of Insurance
21
Limitations
  • A certificate is not an insurance policy
  • Evidence of insurance only
  • Represents the coverage and limits at the time of
    issuance
  • At the time the Contract is executed
  • The work prescribed has begun
  • Limits might be reduced by paid claims
  • Claim may be higher than available limits
  • Does not define or modify coverage
  • Certificate holder
  • Not entitled to information regarding policy
    changes
  • Only entitled to notice of cancellation

22
Risk Management Recommendations
  • Require contracting party to furnish an original
    Certificate of Insurance before work commences
  • Require the County be named as an Additional
    Insured on relevant liability policies
  • Affords the County coverage under the vendors
    policy
  • Affords defense should the County be sued based
    on actions of the vendor...

23
Risk Management Recommendations...
  • Require a Hold Harmless Agreement in favor of the
    County
  • Example found in the Recommended Checklist
  • Require appropriate coverage and limits for the
    project or service
  • Recommended Checklists provide MINIMUM
    recommended limits
  • MS466 limits for other municipalities...

24
Risk Management Recommendations...
  • Require Insurance be placed with Insurers with a
    current A.M. Best rating of no less than A VII
  • A. M. Best Company
  • Largest, longest-established rating company
  • Provides measurement of insurer financial
    stability
  • Two part rating - separated by a colon
  • First portion - assessment - overall management
  • A, A (Superior) to S (Rating Suspended)
  • Second portion - Assessment of financial size
    (policyholders surplus)
  • Roman numeral ranging up to XV
  • More information or look up rating on
    website www.ambest.com

25
Risk Management Recommendations...
  • Require 30-days written notice of intent to
    cancel, suspend, or reduce coverage (60-days
    preferable)
  • Delete endeavor to and however, we assume no
    liability for failure to do so in the
    cancellation clause
  • Compare certificate limits and coverage to
    requirements in each contractual agreement...

26
Risk Management Recommendations...
  • Effectively manage Certificates of Insurance
  • Review each certificate
  • Information could change from prior year
  • Establish certificate file
  • Consider two copies
  • One filed alphabetically
  • One filed chronologically
  • Suspense or tickler system
  • Use a form letter to obtain certificates and
    renewal certificates
  • Certificates of Insurance can be an effective
    risk management tool if used and managed properly

27
Resources
  • MCIT Bulletin articles (handouts available)
  • Dont Give Away An Opportunity To Replenish The
    Pool With A Waiver Of Subrogation (April 2004)
  • Damage To Property Provisions In Contracts
    (November 2003)
  • Certificates Of Insurance (October 2004)
  • Independent Contractors 9 conditions found in
    MS176.042
  • Checklist of Recommended Coverage for Independent
    Contractors
  • Checklist of Recommended Coverage for
    Construction Projects
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